Mary M Pallister

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

268576-1 Issued in NY

Practice address

25 Liberty Street
Batavia, NY 14020

Phone

(585) 344-2611

Fax

(585) 345-1418

NPI assigned

Aug 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1770195604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LIBERTY STREET",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-344-2611",
            "fax_number": "585-345-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LIBERTY STREET",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-344-2611",
            "fax_number": "585-345-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 South Main Suite 101",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "NY",
            "postal_code": "14411",
            "country_code": "US",
            "telephone_number": "585-589-1158",
            "fax_number": "585-589-1158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLISTER",
        "first_name": "MARY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "268576-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Patrick Pacino, FNP
• Michelle Pacino
• Diana J Page, NPP BC
• Hillary Paille, NP
• Anthony Carlos Palinkas, MD
• Dawn Marie Palmer, OTR
• Lisa Partell
• Briana Leigh Parton
• Dewanshi Pravin Patel, RPA-C
• Megha Patel, D.C.

• Licensed Practical Nurse in Batavia, NY
• Providers in Batavia, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.